Trevon Clow Counseling Therapies, Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MH5611 Issued in FL

Legal business name

TREVON CLOW COUNSELING THERAPIES, INC

Practice address

221 N Causeway
Suite B
New Smyrna Beach, FL 32169-5298

Phone

(386) 428-4564

Fax

(386) 428-4539

NPI assigned

Jul 26, 2011

Last updated

Jul 26, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deanne Lynn Depew

Title

Office Manager

Phone

(386) 428-4564

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Trevon Clow, PH.D., LMHC

  • Mental Health Counselor
  • New Smyrna Beach, FL
  • NPI 1679515274
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1023396934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N CAUSEWAY",
            "address_2": "SUITE B",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695298",
            "telephone_number": "386-428-4564",
            "fax_number": "386-428-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N CAUSEWAY",
            "address_2": "SUITE B",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695298",
            "telephone_number": "386-428-4564",
            "fax_number": "386-428-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVON CLOW COUNSELING THERAPIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "DEPEW",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "386-428-4564",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH5611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank W Toub, MD
• Vicente Conrado Trapani, M.D.
• Gwendolyn A Traylor, DDS
• Brittany N Trent
• Wendy Rene Tresher, D.M.D.
• Jaime Arvi Sapayan Tunacao, APRN
• Heaven Jade Turner, ARNP
• Underhill Chiropractic LLC
• Ronald Lindsey Underhill III, D.C.
• United Chiropractic Clinic Ctr LLC

• Professional Counselor in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.